How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $6,165.95 | Facility | None | $1,995.26 | $2,238.72 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,238.72 | Professional | None | $1,995.26 | $1,995.26 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $12,882.50 Typical High $16,218.10 | Facility | None | $10,000.00 | $12,882.50 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,819.70 | Professional | None | $208.93 | $208.93 | $1,819.70 |
CareFirst Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,137.96 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $6,309.57 | Facility | None | $2,691.53 | $4,168.69 | $6,309.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $3,715.35 | Professional | None | $2,511.89 | $2,884.03 | $3,715.35 |
Medcost Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,737.80 | $1,737.80 | $2,630.27 |
Sentara Setting Facility Modifier None Typical Low $1,862.09 Median $3,235.94 Typical High $6,025.60 | Facility | None | $1,862.09 | $3,235.94 | $6,025.60 |
Sentara Setting Professional Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $4,897.79 | Professional | None | $1,995.26 | $3,019.95 | $4,897.79 |
United Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $3,715.35 | Professional | None | $1,122.02 | $1,584.89 | $3,715.35 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $446.68 | Professional | 53 · Discontinued | $398.11 | $398.11 | $446.68 |
Where Virginia sits
The same service costs 33.9 times more in Texas than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 36th of 51
$1,905
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.